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CHRONIC PAIN CLINICS OF AMERICA LLC NPI 1417054669


NPI Information

NPI: 1417054669
Provider Name: CHRONIC PAIN CLINICS OF AMERICA LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D2065964

Address:
1395 S MARIETTA PKWY SE
BLDG 100 STE 101
MARIETTA, GA
ZIP 30067
Phone: (770) 425-8700
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CHRONIC PAIN CLINICS OF AMERICA LLC is a specialist in Marietta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHRONIC PAIN CLINICS OF AMERICA LLC NPI is 1417054669. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1395 S MARIETTA PKWY SE
BLDG 100 STE 101
MARIETTA, GA
ZIP 30067-440
Phone: (770) 425-8700
Fax: (770) 425-8740

The provider's authorized official is Gary Studenic .
The authorized official title is Ceo and has the following contact phone number (404) 784-7722.

The CLIA number assigned to this NPI record is 11D2065964 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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